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PatientBase™….. (Decision Resources’ Customizable Epidemiology Database) DECISION RESOURCES Knowledge, Experience, Insight © Decision Resources, Inc., 2005 Company Confidential PatientBase™ Features Methodology Demonstration Applications / Uses Appendix 2 DECISION RESOURCES > PatientBase™ DECISION RESOURCES Knowledge, Experience, Insight Company Confidential What is PatientBase™ > Online database of 103 diseases and 153 indications > Therapeutic Coverage 1. Cancer 2. Cardiovascular 3. CNS 4. Immune & Inflammatory 5. Infectious 6. High Interest Diseases like Obesity, Osteoporosis, Erectile Dysfunction etc. > Geographic Focus United States Japan France, Germany, Italy, Spain and United Kingdom > Frequency of Outputs Released quarterly with most indications updated annually > Created, analyzed and validated by DR’s wellcredentialed Epidemiology staff 4 DECISION RESOURCES > Company Confidential PatientBase™ Features > 10 year forecast – 2004 to 2014 Prevalent cases / Incident cases Diagnosed Drug treated Five-year age cohorts By gender Types of sub-population (Co-morbidity, Severity, Seasonality etc.) Corresponding UN population > Data portability into Excel > Complete access to Sources & Methodology behind the data 5 DECISION RESOURCES > Company Confidential PatientBase™ Development Methodology > Epidemiologists conduct exhaustive secondary literature searches Several hundred studies are reviewed for each indication If appropriate, analyses of primary data sources are conducted > Epidemiologists choose the best country-specific populationbased studies Size and representativeness of subject population and rigor of case ascertainment methods > Academic epidemiological methods are applied in conducting analyses to determine methodology > Age- and gender-specific incidence or prevalence is applied to age- and gender-specific United Nations population estimates For each country to reflect influence of demographic changes over time on patient populations 6 DECISION RESOURCES > Company Confidential Epidemiology Data Sources DR’s expert epidemiologists consult primary data sources, team with expert reviewers, and review hundreds of secondary data sources for estimating incidence/prevalence trends Bundes-Gesundheitssurvey 98 7 ECA DECISION RESOURCES > PatientBase™ - Demonstration DECISION RESOURCES Knowledge, Experience, Insight Company Confidential PatientBase™ – Demonstration (First Page) Begin by selecting an indication (Up to 16 indications at one time) Click to go to the Epi Query page 9 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Query) 10 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Query) Step 1 11 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Query) Subpopulation is the distribution of Step 2 Prevalent/Incident cases specific to an Indication provided for more than half of all diseases and conditions Co-morbidity Severity Laboratory measure Seasonality Etiology Pathogen type Infection site Treatment type 12 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Query) Step 3 Prevalent cases: all patients with the disease/condition at a point in time Incident cases: all patients newly diagnosed with the disease/condition Drug-treated cases: all diagnosed patients who are receiving pharmacotherapy Corresponding U.N. population data: the total number of United Nations-estimated people in the population that corresponds to the cases of people with the disease or condition 13 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Query) Step 4 •Regional total: total regional patient populations (United States, Europe, Japan) •Country total: total country patient populations (United States, France, Germany, Italy, Spain, the United Kingdom, and Japan) •Country and gender detail: breakout of country-specific patient populations by male and female •Country, gender, and age detail: breakout of country-specific patient populations by male and female and by 5-year age breakouts 14 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Query) Step 5 > Formatted table: data are presented in attractive table for ease of use and presentation > Raw data spreadsheet: data are presented in raw table which is easiest to manipulate when exported to Excel > Both formats can be exported to Excel for further manipulation > Forecast period: forecast is presented in 5 year increments 2004 2009 2014 > Client can choose to view annualized forecasts through 2014 or forecasts of individual years 15 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Results) 16 DECISION RESOURCES > Company Confidential PatientBase™ – Demonstration (Epi Results) Tool Bar •Methodology: thorough and transparent discussions of overall and country-specific methodologies used to obtain patient population estimates and subpopulations •Bibliography: complete bibliography of all sources analyzed for the methodology •Key Sources: country-specific list of primary sources used to estimate key patient populations and subpopulations 17 DECISION RESOURCES > Company Confidential PatientBase™ – Application / Uses > Estimate the number of people with drug-treatable disease or condition over time Percent diagnosed Percent treated > Segment cases by age, gender, stage, severity, genetic factor, disease attribute, co-morbidity or country > Annualized population forecasts > Compare populations across Indications 18 DECISION RESOURCES > Company Confidential Support & Services > DR’s highly skilled Epidemiology staff will answer any questions regarding PatientBase™ Staff members with over 50 years combined work experience > DR’s Consulting Group along with Epidemiology staff can assist in any customized Epidemiology work Additional Indications Geography not covered in PatientBase™ 19 DECISION RESOURCES > Company Confidential Appendix Oncology Indications in PatientBase™ - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > > > > > > 20 Acute Myeloid Leukemia Bladder Cancer-Superficial Bladder Cancer-Metastatic Bladder Cancer-Muscle-Invasive Breast Cancer-Stage I Breast Cancer-Stage II Breast Cancer-Stage III Breast Cancer-Stage IV Cervical Cancer-Stage I Cervical Cancer-Stage III Cervical Cancer-Stage III Cervical Cancer-Stage IV Chronic Lymphocytic LeukemiaHigh Risk > > > > > > > > > > > Chronic Lymphocytic LeukemiaIntermed. Risk Chronic Lymphocytic LeukemiaLow Risk Chronic Myelogenous Leukemia Colon Cancer-Stage I Colon Cancer-Stage II Colon Cancer-Stage III Colon Cancer-Stage IV Colorectal Cancer-Stage I Colorectal Cancer-Stage II Colorectal Cancer-Stage Colorectal Cancer-Stage IV DECISION RESOURCES > Company Confidential Appendix Oncology Indications in PatientBase™ Cont. - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > > > > > > 21 Esophageal Cancer - Distant Esophageal Cancer - Limited Esophageal Cancer - Regional Esophageal Cancer - Unknown Glioma Liver Cancer - Distant Liver Cancer - Limited Liver Cancer - Regional Liver Cancer - Unknown Malignant Melanoma-Stage I Malignant Melanoma-Stage II Malignant Melanoma-Stage III Malignant Melanoma-Stage IV > > > > > > > > > > > > > Multiple Myeloma-Stage I Multiple Myeloma-Stage II Multiple Myeloma-Stage III Non-Hodgkin's Lymphoma-Aggressive Non-Hodgkin's Lymphoma-Indolent Non-Small-Cell Lung Cancer-Stage I Non-Small-Cell Lung Cancer-Stage II Non-Small-Cell Lung Cancer-Stage III Non-Small-Cell Lung Cancer-Stage IV Ovarian Cancer-Stage I Ovarian Cancer-Stage II Ovarian Cancer-Stage III Ovarian Cancer-Stage IV DECISION RESOURCES > Company Confidential Appendix Oncology Indications in PatientBase™ Cont. - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > > > > 22 Pancreatic Cancer-Distant Pancreatic Cancer-Localized Pancreatic Cancer-Regional Prostate Cancer-Stage I Prostate Cancer-Stage II Prostate Cancer-Stage III Prostate Cancer-Stage IV Rectal Cancer-Stage I Rectal Cancer-Stage II Rectal Cancer-Stage III Rectal Cancer-Stage IV > > > > > > > > > Renal Cell Carcinoma-Stage I/II Renal Cell Carcinoma-Stage III Renal Cell Carcinoma-Stage IV Small-Cell Lung Cancer-Extensive Small-Cell Lung Cancer-Limited Stomach Cancer - Distant Stomach Cancer - Limited Stomach Cancer - Regional Stomach Cancer - Unknown DECISION RESOURCES > Company Confidential Appendix Central Nervous System Indications in PatientBase™ - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > > > > > > > > Acute Ischemic Stroke Alzheimer’s Disease Attention-Deficit/Hyperactivity DisorderAdult Attention-Deficit/Hyperactivity DisorderPediatric Bipolar Disorder Chronic Low Back Pain Dementia Epilepsy Generalized Anxiety Disorder Insomnia Major Depression Migraine (Prophylaxis) Mild Cognitive Impairment Minor Depression Multiple Sclerosis (Chronic-Progressive) 23 > > > > > > > > > > > > > > > Multiple Sclerosis (Relapsing-Remitting) Narcolepsy Obsessive-Compulsive Disorder Obstructive Sleep Apnea Osteoarthritic Pain Panic Disorder Parkinson’s Disease Post-operative Pain Restless Legs Syndrome Rheumatoid Arthritic Pain Schizophrenia Social Anxiety Disorder Postherpetic Neuralgia Painful Diabetic Neuropathy DECISION RPain ESOURCES > HIV-Related Neuropathic Company Confidential Appendix Infectious Diseases Indications in PatientBase™ - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > > > > 24 Acute Exacerbations of Chronic Bronchitis Community-Acquired Pneumonia Hepatitis B Hepatitis C Herpes Zoster HIV-Newly Diagnosed Population Human Immunodeficiency Virus Influenza A and B Methicillin-Resistant Staph A Sepsis Complications of Soft Skin Tissue Infection DECISION RESOURCES > Company Confidential Appendix Cardiovascular Indications in PatientBase™ - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > > > > > 25 Acute Heart Failure Acute Myocardial Infarction Atrial Fibrillation Chronic Heart Failure Coronary Heart Disease Dyslipidemia Hypertension Peripheral Arterial Disease Post-Myocardial Infarction Pulmonary Arterial Hypertension Non-ST-Elevation Myocardial Infarction Venous Thromboembolism DECISION RESOURCES > Company Confidential Appendix Immune and Inflammatory Disorders Indications in PatientBase™ - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > 26 Allergic Rhinitis Asthma Crohn’s Disease Diabetic Nephropathy Eczema/ Atopic Dermatitis Metabolic Syndrome Fibromyalgia Osteoarthritis > > > > > > > Psoriasis Rheumatoid Arthritis Systemic Lupus Erythematosus Type 1 Diabetes Type 2 Diabetes Ulcerative Colitis Urticaria DECISION RESOURCES > Company Confidential Appendix High-Interest Disease in PatientBase™ - For U.S.A, Japan & Europe (France, Germany, Italy, Spain, U.K.) > > > > > > > > > > > > > 27 Age-Related Macular Degeneration (Wet) Benign Prostatic Hyperplasia Chronic Obstructive Pulmonary Disease Diabetic Neuropathy Diabetic Retinopathy Erectile Dysfunction Female Sexual Dysfunction Gastroesophageal Reflux Disease Irritable Bowel Syndrome Obesity Osteoporosis Urinary Incontinence (Urge) Urinary Incontinence (Stress) DECISION RESOURCES > Company Confidential For Further Information 28 North America Europe Japan Mr. Bob Fucile Tel. 781-296-2500 Fax 781-296-2550 [email protected] Decision Resources, Inc. 260 Charles Street Waltham, MA 02453 Ms. Vera Bisegna Tel. +32-2-351-10-79 Fax +32-2-351-23-47 [email protected] Decision Resources International, Inc. Avenue des Chasseurs, 1 1410 Waterloo, Belgium Ms. Makiko Yoshimoto Tel. +81-3-5401-2615 Fax +81-3-5401-2617 [email protected] Decision Resources International, Inc. Fukide Building F4 4-1-13 Toranomon Minato-ku, Tokyo 105-0001 Japan DECISION RESOURCES >